NPIMap

Organization Active NPI

Professional Home Care

  • Home Health Agency
  • Johnson City, NY
National Provider Identifier
1366837569
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0055L001 Issued in NY
Legal business name
PROFESSIONAL HOME CARE
Practice address
601 Riverside Dr
Johnson City, NY 13790-2544
Phone
(607) 763-5600
Fax
(607) 763-5582
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Greg Rittenhouse
Title
Vice-President of Operations
Phone
(607) 763-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0055L001 NY Primary

Addresses

Primary practice location

601 Riverside Dr
Johnson City, NY 13790-2544

Mailing address

601 Riverside Dr
Johnson City, NY 13790-2544
Phone (607) 763-5600

Other identifiers 1

IdentifierTypeStateIssuer
01762014MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Professional Home Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1366837569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902544",
            "telephone_number": "607-763-5600",
            "fax_number": "607-763-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902544",
            "telephone_number": "607-763-5600",
            "fax_number": "607-763-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "RITTENHOUSE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "VICE-PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "607-763-5600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0055L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01762014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.